MEDICARE: THABET & HADDADEEN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1639644925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THABET & HADDADEEN LLC

Provider Business Mailing Address
First Line	:	3370 W 117TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3605
Country	:	US
Telephone Number	:	216-688-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	5716 BROADWAY AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1715
Country	:	US
Telephone Number	:	216-575-8854
Fax Number	:

Authorized Official
Title or Position	:	BILLING
Name	:	NADIA ZAYED
Credential	:
Telephone Number	:	216-924-9879

Provider Enumeration Date	:	10/12/2018
Last Update Date	:	10/12/2018

Similar Medicare Providers

1205099520 — DR. YAZAN HADDADEEN DDS
Practice Location Address:

5716 BROADWAY AVE
CLEVELAND, OH
44127-1715

Practice Phone: 216-415-5504
Practice Fax:

1639537616 — BROADWAY FAMILY DENTAL PRESENTED BY DR. TARIQ SAYEGH BDS LLC
Practice Location Address:

5716 BROADWAY AVENUE
CLEVELAND, OH
44127-1715

Practice Phone: 216-862-4990
Practice Fax: 216-862-3585

1730660770 — DR MARINO AND ASSOCIATES INC
Practice Location Address:

5716 BROADWAY AVE
CLEVELAND, OH
44127-1715

Practice Phone: 216-415-5504
Practice Fax:

1073352829 — ALADDIN MIFALANI
Practice Location Address:

5716 BROADWAY AVE
CLEVELAND, OH
44127-1715

Practice Phone: 216-415-5504
Practice Fax:

1710185889 — DR. BRENDA JO KOWALSKE M.D.
Practice Location Address:

1715 CLEVELAND HWY
GAINESVILLE, GA
30501-1357

Practice Phone: 404-276-7358
Practice Fax:

1659616704 — ALAINA M PARDEE-MILLER LISW-S
Practice Location Address:

1212 HURON RD E
CLEVELAND, OH
44115-1715

Practice Phone: 216-619-6194
Practice Fax: 216-619-6195

Directions to “THABET & HADDADEEN LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.